Individual
MRS. AMANDA L CONKLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, LDN, CNSC
Contact information
Practice address
4001 NEW BROAD CIR APT 113, OVIEDO, FL 32765-7359
(689) 262-0597
Mailing address
4001 NEW BROAD CIR APT 113, OVIEDO, FL 32765-7359
(689) 262-0597
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
DN004677
PA
133V00000X
Registered Dietitian
L006492
NC
133V00000X
Registered Dietitian
Primary
ND10545
FL
Other
Enumeration date
01/26/2012
Last updated
07/26/2025
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